Nursing groups and some safety experts say inadequate nurse staffing is a widespread problem. In June, Massachusetts passed a mandatory ICU nurse staffing law. Similar bills are pending in other states, and there's a bill in Congress to require hospitals to closely track staffing levels.
Dr. Michael Cropp, president and CEO of Independent Health, a not-for-profit health insurer based in Buffalo, N.Y., discusses surprise medical bills, how his plan reduced premiums this year and his views of prescription drug prices. He spoke with Modern Healthcare reporter Bob Herman.
Recent history has proved poorly designed payment reforms have unintended and unwanted consequences. The CMS is on the cusp of making that mistake with its plan to bundle payments for replacing knees and hips.
Dartmouth-Hitchcock Medical Center has pulled out of the Medicare Pioneer accountable care organization initiative, which has lost nearly half of its 32 original participants.
Congressional Republicans may inject controversial healthcare changes into the dealmaking as the debt-ceiling deadline looms on Nov. 3 and the continuing budget resolution is set to expire on Dec. 11.
After a report from the government watchdog said few people were exploiting vulnerabilities in the enrollment process that could allow them to receive insurance subsidies while still enrolled in Medicaid, Democrats in the House called the GAO report just another effort by Republicans to derail the...
Democratic lawmakers say they are struggling to get Republican lawmakers on board to prevent a 52% spike in Medicare Part B premiums.
The CMS will engage providers in New York in an effort to turn around the state's struggling experiment to coordinate care for low-income and disabled residents eligible for both Medicaid and Medicare. Dual demonstrations around the country continue to struggle with high opt outs, and many are...
Dartmouth-Hitchcock Medical Center is the latest to pull out of the CMS Innovation Center's Pioneer ACO initiative, Medicare's earliest and most aggressive test of accountable care, which has lost nearly half its initial cohort.
Top CMS officials signaled this week that the agency will consider altering Medicare Advantage quality ratings to adjust for socio-economic characteristics of a plan's enrollees.
A new report to Congress on the transparency of Medicaid demonstration waivers is doing little to quell concerns that the CMS needs to beef up its oversight of the policy experiments.
Millennium Health, a San Diego based lab company, will pay the government $256 million to settle allegations it billed the government for medically unnecessary urine, drug and genetic testing and gave free drug cup tests to physicians in exchange for referrals.